Gonzales, Luis A.

Gonzales, Luis A. is an individual health care provider with primary practice located at 781 East 142Nd Street , Bronx NY 10454-1723. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Gonzales, Luis A. can be contacted via phone (718) 918-3060.

Contact Information

Primary practice address
781 East 142Nd Street Bronx NY 10454-1723
Phone: (718) 918-3060
Fax: (718) 918-4469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 190284-1 New York
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 190284 New York

Profile Details

NPI number 1578641825
LBN Legal business name Gonzales, Luis A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Feb 26th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578641825 NPPES
New York MEDICAID 01847103

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